Scott Joseph Cicciarelli Jr.
Scott Joseph Cicciarelli Jr. is a Physician Assistant in Peoria, Illinois. Graduated from Saint Louis University School of Medicine in 2021, 5 years ago. Practices with Midwest Orthopaedic Center S C, a 46-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 5
- Trained at
- Saint Louis University School of Medicine
- Licensed in
- IL
- In the registry since
- 2021
Practice location Address checks out
6000 N Allen RdPeoria, IL 61614-3294
Phone: (309) 691-1400
Fax: (309) 693-3197
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 085008908 (IL) |
|---|
Record details
| NPI number | 1801485271 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 11, 2021 |
| Last updated in NPPES | June 13, 2022 |
| Certification date | June 13, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2021 (5 years in practice) |
| Group practice | Midwest Orthopaedic Center S C — 46 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Peoria
-
Rebecca Barrick
5401 N Knoxville Ave Ste 115, Peoria, IL 61614-5068 · (309) 691-2903
-
Jakob Castleman, PA-C
6000 N Allen Rd, Peoria, IL 61614-3294 · (309) 691-1400
-
Jacob Day
6000 N Allen Rd, Peoria, IL 61614-3294 · (309) 691-1400
-
Mr. Gary Fisk, PA
5405 N Knoxville Ave, Peoria, IL 61614-5016 · (309) 691-4410
-
Katherine Guo
530 NE Glen Oak Ave, Peoria, IL 61637-0001 · (309) 655-2000
-
Benjamin M Holman, PA
6000 N Allen Rd, Peoria, IL 61614-3294 · (309) 691-1400